Provider Demographics
NPI:1326263674
Name:MCCARTY, GALE ANNE (MD, FACP, FACR)
Entity Type:Individual
Prefix:
First Name:GALE
Middle Name:ANNE
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:MD, FACP, FACR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 UNION ST
Mailing Address - Street 2:MAINE COAST RHEUMATOLOGY
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-1586
Mailing Address - Country:US
Mailing Address - Phone:207-664-5430
Mailing Address - Fax:207-664-5463
Practice Address - Street 1:50 UNION ST
Practice Address - Street 2:MAINE COAST RHEUMATOLOGY
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-1586
Practice Address - Country:US
Practice Address - Phone:207-664-5430
Practice Address - Fax:207-664-5463
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101227886207RR0500X
DC21067207RR0500X
MEEL091013207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5845441Medicaid
ME433821099Medicaid
ME001013302Medicare PIN
VA5845441Medicaid
ME433821099Medicaid
VA572276Medicare ID - Type Unspecified